| NPI | 1255054813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302415094) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 12432026-1701) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-05-22 |